Mouth and dental examination is a systematic act in the etiologic follow up of an infectious endocarditis. Our study concerned 42 patients collected during 5 years period, starting july 1995 until July 2000, in the dental medical service of Hedi Chaker university hospital of Sfax oriented by the cardiovascular diseases service looking for a buccodental entry of bacteria. Our patients group is divided into 25 men and 17 women of 36.1 years mean age. Dental or parodontal lesions were observed in 25 patients. Panoramic X-rays showed periapical lesions of granuloma or cystic type in 15 patients. Among the etiological factors encountered we noticed dental acts accomplished without antibioprophylaxis and dental bacterial collection medically treated without extraction. Buccodental lesions were a frequent cause of the infectious endocarditis in 59.5% of the patients studied in this report, and were due more to defectious hygienic conditions than to a disabled dental act.

Adult↗

PubMedDate not supplied

[Identification and antibiotic sensitivity of streptococci responsible for endocarditis isolated at the University Hospital Center of Sfax (Tunisia)].

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Drug Resistance, Microbial↗

PubMedDate not supplied

[Considerations about neoplastic intestinal occlusion].

Neoplastic intestinal occlusion represent a Frequently Surgical emergency. The present study deals with 96 cases of neoplastic intestinal occlusion from a group of 480 patients admitted and operated with diagnosis of intestinal occlusions in our clinic between 1998-2002. The patients had clinical evidence of intestinal occlusions confirmed by imaging and endoscopical examination. Median age was 50 years, females (59,40%), urban (53,12%), rectosigmoid localization (60%) advised evaluative stages was predominance. Emergency operations were performed in all cases after a short period of equilibration, 54 operations with radical intention, in 29 cases we have used a orthograde colic lavage witch help us to make a good anastomosis, 20 Hartman type, 10 colostomy, 15 exploration laparatomy. Postoperative major complications was observed in 54,48% and postoperative mortality rate was of 6,22 %.

Adenocarcinoma↗

PubMedDate not supplied

[Post-myocardial infarct ventricular aneurysms].

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Coronary Artery Bypass↗

PubMedDate not supplied

[Complications of valve prostheses].

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Adult↗

PubMedDate not supplied

[Chronic cor pulmonale caused by hydatid embolism complicating hepatic hydatid cyst].

An hydatid cyst of the left lobe of the liver, associated with right heart failure, was diagnosed in a 61-year-old man presenting with dyspnoea. Doppler echocardiography combined with cardiac catheterization demonstrated the presence of pulmonary precapillary hypertension. Pulmonary perfusion scintigraphy with Technetium-labelled albumin microspheres demonstrated multiple pulmonary embolisms, leading to a diagnosis of postembolic chronic cor pulmonale. Due to the absence of thrombophlebitis and ultrasound signs of an intracaval hydatid membrane, floating at the level of the cyst of the left lobe of the liver, the diagnosis of parasitic postembolic chronic heart pulmonale, due to fistulization of an hepatic hydatid cyst into the inferior vena cava, was established. Only chemotherapy was proposed in this patient due to dissemination of the hydatid material in the lungs.

Chronic Disease↗